NPI 1083661508 · live from the CMS NPI Registry
Gem State Radiology Llp
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1083661508, active.
NPI record
| NPI | 1083661508 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1055 N Curtis Rd, Boise, ID 83706 |
| Practice phone | 208-367-2161 |
| Mailing address | 877 W Main St Ste 603, Boise, ID 83702 |
| Enumerated | May 29, 2006 |
| Last updated | October 17, 2026 |
| Authorized official | Wayne Baldwin, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.